Manager, Reimbursement

LifePoint Health

$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting
  • Minimum of 5 years related experience in hospital reimbursements
  • Certified Professional Accountant (CPA) preferred
  • Proficiency in Medicare and Medicaid cost reporting
  • Understanding of governmental payer regulations

Responsibilities

  • Collaborate with hospitals to ensure accurate Medicare and Medicaid accruals and settlement estimates
  • File Medicaid Disproportionate Share Hospital (DSH) audits and complete month-end close activities
  • Mitigate income loss risk and seize value opportunities in reimbursement processes
  • Review and file annual Medicare and Medicaid Cost Reports
  • Monitor Medicaid legislative changes with Governmental Relations for assigned States
  • Adjust reimbursement factors based on Federal/State guidance and internal data
  • Process month-end close for state supplemental payment programs

Benefits

  • Multiple levels of medical, dental, and vision coverage for employees
  • Life, accident, critical illness insurance, and paid family leave
  • Higher education and certification tuition assistance
  • 401(k) retirement package with company match
  • Mental, physical, and financial wellness programs
Full Job Description
JOB DESCRIPTION

Schedule: Days: M-F

More about our team

The Manager, Reimbursement manages and files Medicare and Medicaid cost reports and other regulatory report-ing requirements, working with Centers for Medicare and Medicaid Services (CMS) and Medicaid States Agencies during the audit of these cost reports, and for forecasting Medicaid supplemental payment income, etc.

How you99ll contribute

AManager, Reimbursement who excels in this role will:

  • Collaborate with hospitals to ensure Medicare and Medicaid contractual accruals and settlement estimates are accurate. Monitor state legislative activity to ensure Lifepoint is aware of upcoming Medicaid payment changes or opportunities to influence policy.

  • File Medicaid Disproportionate Share Hospital (DSH) audits, month end close related to governmental payers, and other miscellaneous activities for their assigned hospitals.

  • Mitigate risk of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not limited to, the planning, filing, and auditing of Medicare and Medicaid cost reports.

  • Review monthly Governmental exhibits as a part of month end close and complete/file annual Medicare and Medicaid Cost Reports. Review exhibit models and assist in the calculation of net revenue, represent the hospital during audit, review the assigned hospitals month end exhibits, and complete a detailed review once a quarter.

  • Work with Governmental Relations in monitoring Medicaid legislative changes for assigned States.

  • Review monthly and quarterly Government reimbursement exhibits to ensure cash and accrued reimbursement rates are properly set.

  • Adjust accruals and reimbursement factors as needed, in conjunction with Federal and State guidance, as well as with internal costing data.

  • Process month end close to include calculating, reviewing, and preparing entries related to state supplemental payment programs.

  • Regular and reliable attendance.

  • Perform other duties as assigned.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

  • Comprehensive Benefits:Multiple levels of medical, dental and vision coverage for full-time andpart-time employees.

  • Financial Protection & PTO:Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

  • Financial & Career Growth:Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

  • Employee Well-being:Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

  • Professional Development:Ongoing learning and career advancement opportunities.

What we99re looking for

  • Education: Bachelor99s degree in Accounting.

  • Experience: Minimum of 5 years related experience in hospital reimbursements.

  • Certifications: Certified Professional Accountant (CPA) preferred

  • Minimum overnight travel (up to 10%) by land and/or air

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